IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2022i1p131-d1011318.html
   My bibliography  Save this article

Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices

Author

Listed:
  • Mario Greco

    (Postgraduate School of Orthodontics, University of Ferrara, Via Fossato di Mortara, 44100 Ferrara, Italy)

  • Monika Machoy

    (Department of Periodontology, Pomeranian Medical University, ul. Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland)

Abstract

Introduction: Temporary anchorage devices (TADs) represent an essential instrument under difficult anchorage conditions, especially when the procedure is approached with an aligner technique. The objective of this paper is to describe a possible sequence of orthodontic treatment of impacted canines with aligners supported by orthodontic mini-screws. Materials and Methods: The resolution of impacted canines requires a specific clinical sequence constituted by different steps: the space creation, the surgical exposure, and the orthodontic traction (on the horizontal, vertical, and buccal direction). Following this sequence, two different clinical scenarios can be identified following the space available and the initial malocclusion. The first scenario is constituted by recreating the space for the impacted canine along with the correction of the malocclusion by means of an aligner system and then approaching the de-impaction with TADs. The second clinical scenario is related to the canine-first approach, an immediate de-impaction stage based solely on the use of TADs and sectional wires, and then a finishing phase with aligners. Results: Both approaches to the treatment of impacted canines can be considered reliable, but of course selecting one or the other depends on the space available in the upper arch and on the initial malocclusion. Conclusions: The use of aligners in the treatment of impacted canines in combination with TADs and sectional wires represents a viable alternative option to the conventional systems for canine disinclusion. When the treatment is managed with the presented approaches, no further cooperation with the patient is required in order to support the forced eruption, and an ideal biomechanical approach can be easily applied with one or two mini-screws.

Suggested Citation

  • Mario Greco & Monika Machoy, 2022. "Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
  • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:131-:d:1011318
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/1/131/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/1/131/
    Download Restriction: no
    ---><---

    More about this item

    Keywords

    impacted teeth; TADs; aligners;
    All these keywords.

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:131-:d:1011318. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.